Maternal and Neonatal Complications of Substance Abuse in Iranian Pregnant Women
There is an increased prevalence of maternal substance abuse during pregnancy in younger women in all socioeconomic classes and races. Our aim was to determine the prevalence and correlates of self-reported substance abuse among pregnant women and obstetric complications or neonatal outcomes in Iran...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2012-06-01
|
| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/3922 |
| _version_ | 1818164282976632832 |
|---|---|
| author | Soraya Saleh Gargari Masoumeh Fallahian Ladan Haghighi Maryam Hosseinnezhad-Yazdi Elahe Dashti Kate Dolan |
| author_facet | Soraya Saleh Gargari Masoumeh Fallahian Ladan Haghighi Maryam Hosseinnezhad-Yazdi Elahe Dashti Kate Dolan |
| author_sort | Soraya Saleh Gargari |
| collection | DOAJ |
| description | There is an increased prevalence of maternal substance abuse during pregnancy in younger women in all socioeconomic classes and races. Our aim was to determine the prevalence and correlates of self-reported substance abuse among pregnant women and obstetric complications or neonatal outcomes in Iran. This retrospective cohort study is covering a five year period on medical records of pregnant women attending the maternity unit of four major hospitals (Mahdieh, Taleghani, Imam Hossein and Akbarabadi Hospitals). Women who reported using opium, heroin, crack, cannabis or methamphetamine were compared with women with no reported history of drug abuse for obstetric complications and prenatal morbidity and neonatal mortality. From 100,620 deliveries substance abuse was recorded for 519 women giving a prevalence of 0.5%. Opium was the most prevalent substance abused followed by crack (a mix of heroin and amphetamines). The exposed group had significantly more obstetric complications including preterm low birth weight and postpartum hemorrhage than the non-exposed group. The exposed group had significantly worse prenatal outcomes including more admissions to intensive care unit and higher infant mortality than the non-exposed group. None of the women in the exposed group was on methadone treatment at time of delivery. Risks of maternal and neonatal complications were increased in substance using pregnant women, especially preterm birth and low birth weight. We recommend a multidisciplinary team to provide methadone maintenance therapy for substance using pregnant women and urinary screen of all pregnant women presenting to hospital. |
| first_indexed | 2024-12-11T17:02:59Z |
| format | Article |
| id | doaj.art-4ca9125af6a2482e824f86e5699b60f4 |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-12-11T17:02:59Z |
| publishDate | 2012-06-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-4ca9125af6a2482e824f86e5699b60f42022-12-22T00:57:46ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942012-06-01506Maternal and Neonatal Complications of Substance Abuse in Iranian Pregnant WomenSoraya Saleh Gargari0Masoumeh Fallahian1Ladan Haghighi2Maryam Hosseinnezhad-Yazdi3Elahe Dashti4Kate Dolan5Infertility & Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Infertility & Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, Iran.Infertility & Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Faculty of Nursing & Midwifery School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.International Research and Training National Drug and Alcohol Research Centre, UNSW, Sydney, Australia.There is an increased prevalence of maternal substance abuse during pregnancy in younger women in all socioeconomic classes and races. Our aim was to determine the prevalence and correlates of self-reported substance abuse among pregnant women and obstetric complications or neonatal outcomes in Iran. This retrospective cohort study is covering a five year period on medical records of pregnant women attending the maternity unit of four major hospitals (Mahdieh, Taleghani, Imam Hossein and Akbarabadi Hospitals). Women who reported using opium, heroin, crack, cannabis or methamphetamine were compared with women with no reported history of drug abuse for obstetric complications and prenatal morbidity and neonatal mortality. From 100,620 deliveries substance abuse was recorded for 519 women giving a prevalence of 0.5%. Opium was the most prevalent substance abused followed by crack (a mix of heroin and amphetamines). The exposed group had significantly more obstetric complications including preterm low birth weight and postpartum hemorrhage than the non-exposed group. The exposed group had significantly worse prenatal outcomes including more admissions to intensive care unit and higher infant mortality than the non-exposed group. None of the women in the exposed group was on methadone treatment at time of delivery. Risks of maternal and neonatal complications were increased in substance using pregnant women, especially preterm birth and low birth weight. We recommend a multidisciplinary team to provide methadone maintenance therapy for substance using pregnant women and urinary screen of all pregnant women presenting to hospital.https://acta.tums.ac.ir/index.php/acta/article/view/3922MaternalNeonatalComplications NeonatalComplicationsSubstance abusePregnancy |
| spellingShingle | Soraya Saleh Gargari Masoumeh Fallahian Ladan Haghighi Maryam Hosseinnezhad-Yazdi Elahe Dashti Kate Dolan Maternal and Neonatal Complications of Substance Abuse in Iranian Pregnant Women Acta Medica Iranica Maternal Neonatal Complications Neonatal Complications Substance abuse Pregnancy |
| title | Maternal and Neonatal Complications of Substance Abuse in Iranian Pregnant Women |
| title_full | Maternal and Neonatal Complications of Substance Abuse in Iranian Pregnant Women |
| title_fullStr | Maternal and Neonatal Complications of Substance Abuse in Iranian Pregnant Women |
| title_full_unstemmed | Maternal and Neonatal Complications of Substance Abuse in Iranian Pregnant Women |
| title_short | Maternal and Neonatal Complications of Substance Abuse in Iranian Pregnant Women |
| title_sort | maternal and neonatal complications of substance abuse in iranian pregnant women |
| topic | Maternal Neonatal Complications Neonatal Complications Substance abuse Pregnancy |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/3922 |
| work_keys_str_mv | AT sorayasalehgargari maternalandneonatalcomplicationsofsubstanceabuseiniranianpregnantwomen AT masoumehfallahian maternalandneonatalcomplicationsofsubstanceabuseiniranianpregnantwomen AT ladanhaghighi maternalandneonatalcomplicationsofsubstanceabuseiniranianpregnantwomen AT maryamhosseinnezhadyazdi maternalandneonatalcomplicationsofsubstanceabuseiniranianpregnantwomen AT elahedashti maternalandneonatalcomplicationsofsubstanceabuseiniranianpregnantwomen AT katedolan maternalandneonatalcomplicationsofsubstanceabuseiniranianpregnantwomen |